- Homecare service
Fosse Healthcare - Nottinghamshire
Report from 16 February 2024 assessment
Contents
Ratings
Our view of the service
Fosse Healthcare – Nottinghamshire is a domiciliary care agency providing personal care and support to older people and younger adults with varying levels of care and support needed, including physical disabilities and dementia. At the time of the inspection, the service was supporting 379 people with their personal care needs. Fosse Healthcare – Nottinghamshire was last rated Good (published 30 October 2020). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). Our assessment of this started off site on 13th March 2024 unannounced. We conducted our on-site assessment on 16 April 2024, having announced this 24 hours beforehand. This means the provider was told we were going to be attending beforehand. We assessed 13 quality statements from the safe, caring, and well-led key questions and found areas of good practice and concerns. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. This assessment did not cover all parts of our Single Assessment Framework; therefore, we have only updated scores and ratings for those areas which we have assessed. We will conduct future assessments to cover other parts of the Framework and will update our website with our findings. We have identified breaches in relation to governance and staffing. This was due to ineffective auditing processes and deployment of staff when staff numbers had been reduced. We have asked the provider for an action plan in response to our concerns.
People's experience of this service
People and relatives told us that care, in the majority of cases, was provided in the way they or their family members wanted. Many did, however, express concerns with the punctuality and consistency of staff. Some said this had had a negative impact on them. Some people told us they had been sent male care staff when they had stated they did not feel comfortable with this. Many people and relatives did not feel the service was well managed. They felt their views were not always valued, and when concerns were raised, they did not always feel these would be acted on appropriately. Most people and relatives felt medicines were well managed; however, there were concerns that staff arriving late to calls could impact the need to have time critical medicines given on time. People felt staff followed safe infection control and prevention procedures and staff helped them to maintain a safe home environment. People felt able to make decisions about their care and were involved with setting up their care plan.